Individual provider · Type 1 NPI
Tracy Maue
Nurse Practitioner · Grand Rapids, MI
Practice location
3333 Deposit Dr NE Ste 240
Grand Rapids, MI 49546-1470
Fax (616) 942-7405
Mailing address
PO Box 40412
Belfast, ME 04915-1255
Other practice locations
- 5900 Byron Center Ave SW, Wyoming, MI 49519-9606 · (616) 252-5950
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704225720 (MI) |
| Nurse Practitioner Primary | 363L00000X | 4704225720 (MI) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1750819801
Tracy Maue's National Provider Identifier is 1750819801, issued on Jun 1, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Sep 19, 2025.